Individual provider Active NPI

Patricia Lynn Martin, RMP

  • Massage Therapist
  • Havre de Grace, MD
National Provider Identifier
1881366409
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
R02169 Issued in MD
Practice address
467 Franklin St
Havre de Grace, MD 21078-2806
Phone
(443) 409-2761
NPI assigned
Oct 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X R02169 MD Primary

Addresses

Primary practice location

467 Franklin St
Havre de Grace, MD 21078-2806

Mailing address

731 Clayton St
Aberdeen, MD 21001-3521
Phone (443) 409-2761

Other identifiers 1

IdentifierTypeStateIssuer
R02169OtherMDDEPARTMENT OF HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Patricia.Martin@umm.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R02169MDMDMassage Therapist

Interoperability endpoints

  • Direct secure messaging: patricia.martin@umm.edu

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1881366409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 CLAYTON ST",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210013521",
            "telephone_number": "443-409-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 FRANKLIN ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782806",
            "telephone_number": "443-409-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PATRICIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "R02169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "R02169",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Patricia.Martin@umm.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email for appt",
            "address_1": "467 Franklin St",
            "city": "Havre DE Grace",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210782806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.